E1: Impulse Control Disorders Flashcards
What is the premise of CBT?
-thoughts influence feelings which alter behavior. Changing the thought process is the basis
What is the difference between intermittent explosive disorder and ASPD and CD?
IED can experience guilt while the other two do not
What criteria must be met in order for a diagnosis of IED?
1) recurrent episodes of aggressive behavior or verbal aggression
2) aggressiveness out of proportion to precipitating psychosocial stressors
3) no premeditated
4) cause distress
5) at least 6 years old
6) behavior not accounted for by another mental disorder
What are the risk factors for developing IED?
Trauma, genetically linked, serotonin disruption in limbic system and frontal/limbic cortex
What is the treatment of IED?
- SSRIs, mood stabilizers, benzos, anticonvulsants, and antipsychotics
- CBT with medication
- Behavior modification
What are the criteria that must be met for a diagnosis of conduct disorder?
1) major rights of others or societal norms are violated
2) behavior causes significant impairment in social, academic, or occupational functioning
3) if 18 yo or older and they do not meet criteria for ASPD
What is the treatment of CD?
-Individual and group therapy, parental behavioral therapy, pharmacology
What is ODD?
A recurrent pattern of negativistic, defiant, disobedient, and hostile behavioral toward authority figures
-more common in disruptive households
What is the treatment for ODD?
Behavioral modification, family therapy
What criteria must be met for a diagnosis of ODD?
1) negativistic, hostile, and defiant behaviors, >6 months
2) clinically significant impairment in social, academic, or occupational functioning
3) behaviors do no occur during psychotic or mood disorder
4) criteria not met for CD, and if they are >18 yo and criteria are not met for ASPD
What is Kleptomania?
-Impulsive stealing of objects not needed for profit or personal use, often discards objects after stolen
What criteria must be met for a diagnosis of kleptomania?
1) recurrent impulse to steal not for personal use or profit
2) Increased tension before the act of stealing
3) pleasure, gratification, or relief at the time of theft
4) stealing is not to express anger
5) stealing is not accounted for CD, mania, or ASPD
What is the treatment for kleptomania?
- CBT, behavioral modification, aversion
- SSRIs or naltrexone may provide mild benefit
What criteria must be met for a diagnosis of pyromania?
1) deliberate and purposeful fire setting on more than on occasion
2) build up of tension before setting fire
3) fascination in fire
4) pleasure or relief when setting fire or witnessing aftermath
5) fire setting not done for monetary gain
6) not accounted for by CD, mania, or ASPD
What is the treatment of pyromania?
- psychotherapy
- no clear indication for medications, but SSRIs, mood stabilizers, antipsychotics May provide benefit
What is the typical course of pathological gambling?
- winning phase
- losing phase
- desperation phase
What criteria must be met to be diagnosed with pathological gambling?
1) persistent and recurrent maladaptive gambling behavior as indicated by preoccupation with gambling, desired excitement increases with more money gambled, unable to stop, chasing losses, and jeopardizing relationships
2) behavior is not accounted for by manic episode
What is the treatment for pathological gambling?
- psychotherapy (CBT)
- Group therapy
- medications
